BROKEN ARROW WOMENS CLINIC INC NPI 1346429396

NPI Information

BROKEN ARROW WOMENS CLINIC INC is an obstetrics gynecology in Broken Arrow, OK. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BROKEN ARROW WOMENS CLINIC INC NPI is 1346429396. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2950 S ELM PLACE
SUITE 325
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 449-4034
Fax: (918) 449-4039

The provider's authorized official is Dick Lynn Glick .
The authorized official title is Owner and has the following contact phone number (918) 449-4034.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 10/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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